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Median Sternotomy Approach : The preferred approach these days is through a median sternotomy. Pericardiectoiny proceeds in the same way as done through left thoracotomy, by freeing left ventricle first. Then right ventricle is freed. The excision is from one phrenic nerve to the other. Pulmonary outflow, and right atrium and the cavae also can be cleared through median sternotomy approach. On the left side the ventricle is freed upto the atrioventricular groove superiorly and up to the diaphragm inferiorly. Very rarely pericardiectomy will have to be done on cardiopulmonary bypass. In that case femoral cannulation and median sternotomy will be the best approach.
FUNCTIO N OF AMINO ACIDS Proteins are polymers of amino acids. Glycine form porphyrin nucleus in chlorophyll and heme (= haem) proteins like haemoglobin and cytochrome
Implant Mobility and Discomfort Implant mobility is an indication of the lack of osseointegration. Even if periimplant disease has progressed relatively far, implants may still
The bases in DNA have carbon-nitrogen ring structures; due to the nitrogen atoms they are known as nitrogenous bases. There are two parts of ring structure. Adenine and guanine are
Despite improvements in health care, the incidence of infective endocarditis has not decreased over the past decades. Infective endocarditis is lethal if not aggressively treated w
FORMATION OF SOIL Evolution of Earth took place five to eight billion years ago when it was a red hot magma (molten rock). It took millions of years for the magma to cool down
Explain Polio Adults who have not previously been immunized against polio should receive a primary series of inactivated polio vaccine (IPV) if traveling to areas where polio i
Can all the four chambers of the human heart experience systole simultaneously? Describe justifying your answer. What do you call the circulatory fluid in the body of cockroach
Q. Explain about Lactose Intolerance? We commonly hear from people of all age groups, particularly children and elderly to be complaining of abdominal discomfort after consumin
What is meant by cellular secretion? Cell secretion is the elimination to the exterior of substances formed by the cell (for instance, hormones, mucus, sweat, etc.)
Aortic Valve Replacement : Technique: Surgical technique is not much different from what has already been described for aortic stenosis. Care must be taken to avoid VF
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